Medina Healthcare

Our questionnaire is designed for you to answer anonymously, your identity cannot be revealed via your answers. We will use the information you provide to help us improve the quality of care and service we provide to our patients.

Surgery usually attended West Street / Wootton

Firstly please tell us the name of the doctor you prefer to see – you may make more than 1 choice.

1. In the past 12 months, how many times have you seen a doctor from our practice?

2. How do you rate the way you were treated by receptionists at your practice and whether this was face to face or on the telephone?

Please use this box to explain in more detail if necessary

3a. How do you rate the hours that your practice is open for appointments?

3b. What additional hours would you like the practice to be open? (please tick all that apply)

4. Thinking of times when you want to see a particular doctor:

a) How quickly do you usually get to see that doctor?

b) How do you rate this?

5. Thinking of times when you are willing to see any doctor:

a) How quickly do you usually get seen?

b) How do you rate this?

6. If you need to see a GP urgently, can you normally get seen on the same day?

7. a) How long do you usually have to wait at the practice for your consultations to begin?

b) How do you rate this?

8. Thinking of the times you have phoned the practice, how do you rate the following:

a) Ability to get through to the practice between the hours of 8.00 – 9.00am

b) And after 9.00am

c) Your ability to be able to speak to a doctor on the phone when you have a question or need medical advice

9. Seeing your usual/preferred doctor

a) In general how often do you see your usual/preferred doctor?

b) How do you rate this?

10. Thinking about when you consult your doctor, how do you rate the following:

a) How thoroughly the doctor asked about your symptoms and how your are feeling?

b) How well the doctor listens to what you had to say?

c) How well the doctor puts you at ease during your physical examination?

d) How much the doctor involves you in decisions about your care?

e) How well the doctor explains your problems or any treatment that you need?

f) The amount of time your doctor spends with you?

g) The doctor’s patience with your questions or worries?

h) The doctor’s caring and concern for you?

11. Have you seen a nurse from your practice in the last 12 months?

12. Thinking about the nurse(s) you have seen, how do you rate the following:

a) How well they listen to what you say?

b) The quality of care they provide?

c) How well they explain your health problems or any treatment that you need?

Finally it will help us to understand your answers if you could tell us a little about yourself:

13) Are you:

14) How old are you?

15) Do you have any long-standing illness, disability or infirmity? By long-standing we mean anything that has troubled you over a period of time or that is likely to affect you over a period of time.

Please use this box to explain in more detail if necessary

16) Which ethnic group do you belong to?

Please write your answer in this space

17) Your accommodation?

Please use this box to explain in more detail if necessary

18) Which of the following best describes you?

19) We are interested in any other comments you may have. Please enter them below (the box will expand as you enter information).

Thank you for your time in completing our questionnaire.

Is there anything particularly good about your healthcare

Is there anything that could be improved

Do you have any other comments?